OPEIU Local 50 > Organizing > Union Authorization Card

Union Authorization Card

Hawaii Nurses' Association, OPEIU Local 50 (Union Authorization Card)

Date (mm/dd/yyyy)*
I,
Title:
First Name*
Last Name*
DO HEREBY DESIGNATE THE HAWAII NURSES' ASSOCIATION, OPEIU LOCAL 50 AS MY EXCLUSIVE COLLCTIVE BARGAINING REPRESENTATIVE AND AUTHORIZE IT TO ENGAGE IN COLLECTIVE BARGANING ON MY BEHALF. THIS CARD DOES NOT OBLIGATE ME FINANCIALLY IN ANY WAY
Employed by:*
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Position:*
Date Hired:*
Shift:*	Day Night Evening
Phone Number:*
Email:*
Home Address:*
Signature:*



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